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Maine rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $43.12 / $50.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.04 / $78.31 / $145.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $46.33 / $52.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $64.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $58.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $54.30 / $54.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $32.44 / $50.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.39 / $45.54 / $90.94